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1184123101
CHARLES LEE MATTISON
SUITLAND, MD
NPI
1184123101
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2018-02-05
Last Update Date
2018-02-05
Business Address
CHARLES LEE MATTISON
4722 ENGLISH CT
SUITLAND, MD 20746-3779
Phone number: 240-216-8540
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Mailing Address
CHARLES LEE MATTISON
4722 ENGLISH CT
SUITLAND, MD 20746-3779
Phone number:
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